| NPI | 1326775719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRUSTOPHER EDWARD ANABLE Operations Manager 520-678-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |